Sponsor and/or Exhibitor Application Form - EMANZ Conference 2017 | Energy Management Association of New Zealand

Name *

Please include your first and last name.

Organisation/Company *

Job Title *

Postal Address *

Office Phone

Mobile Phone *

Email *

Sponsorship and/or Exhibitor Options (please tick your preference/s): *

Conference Sponsorship Packages - all prices are exclusive of GST. * Platinum/Gold Sponsorship includes complimentary Exhibitor option. Please assist us with resource planning by selecting the Exhibitor Booth option if you require one.

Comments

Payment Options *

Direct Credit (EMANZ Bank Account)

Credit Card (eWay link on invoice)

Cheque (Send to EMANZ, PO Box 19261, Courtenay Place, Wellington 6149)

On receiving your application you will be sent an invoice - please tick your preference. Payment can be made by direct debit (EMANZ account will be provided on the invoice), credit card (Visa or Mastercard only) which is linked to eWay on the invoice or by cheque. A surcharge of 3.4% will apply for all credit card payments. Please advise in the "Invoice Details" field below whom the invoice should be made out to - an individual or a company.

Invoice Details *